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include the following. Other duties may be assigned. Assures that quality assurance procedures are performed on all work products before the product is delivered. Writes technical reports, quality improvement studies, and other reports as appropriate, and is primarily responsible for their technical defensibility and accuracy. Develops and implements strategies for priority setting in terms of tar
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Promotes partnerships in quality improvement initiatives. Identifies opportunity and methodology to improve customer satisfaction. Serves as a quality improvement consultant to designated contracts and educate staff about the quality management system. Assesses documents and monitors the status of project quality improvement and identify quality improvement opportunities and barriers, both interna
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Promotes partnerships in quality improvement initiatives. Identifies opportunity and methodology to improve customer satisfaction. Serves as a quality improvement consultant to designated contracts and educate staff about the quality management system. Assesses documents and monitors the status of project quality improvement and identify quality improvement opportunities and barriers, both interna
Posted Today
Conducts detailed evaluation of provider performance and the presence of person centered supports using applicable tools and guidelines. Initiates contact with service providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities. Conducts interviews with individuals with an intellectual or developmental disability, family members, provi
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Conducts detailed evaluation of provider performance and the presence of person centered supports using applicable tools and guidelines. Initiates contact with service providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities. Conducts interviews with individuals with an intellectual or developmental disability, providers of services
Posted Today
Conducts detailed evaluation of provider performance and the presence of person centered supports using applicable tools and guidelines. Initiates contact with service providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities. Conducts interviews with individuals with an intellectual or developmental disability, providers of services
Posted Today
While medical review and support of review determinations will be the primary responsibilities of this position, the Medical Director job description includes the following essential duties and responsibilities. Other duties may be assigned. Provides clinical information to teams Medical Review Oversight may include Physician peer review activities Criteria development and assessment Correspondenc
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include the following. Other duties may be assigned. Collaborates with the customer to design and adapt processes and deliverables to meet changing needs. Provides relevant pharmacy data and billing training to Analysts and Investigators. Serves as subject matter expert to internal and external investigators on pharmacy processes, ordering, and billing. Assists in the development, evaluation proce
Posted Today
include the following. Other duties may be assigned. Collaborates with the customer to design and adapt processes and deliverables to meet changing needs. Provides relevant pharmacy data and billing training to Analysts and Investigators. Serves as subject matter expert to internal and external investigators on pharmacy processes, ordering, and billing. Assists in the development, evaluation proce
Posted Today
include the following. Other duties may be assigned. Collaborates with the customer to design and adapt processes and deliverables to meet changing needs. Provides relevant pharmacy data and billing training to Analysts and Investigators. Serves as subject matter expert to internal and external investigators on pharmacy processes, ordering, and billing. Assists in the development, evaluation proce
Posted Today
Responsible for facilitating and managing assigned projects and contracts relating to pharmacy services. Leads and provides oversight to assigned tasks and contracts, making sure that contract specifications are understood, tasks are assigned appropriately, and information is available and circulated. Essential Duties and Responsibilities include the following. Other duties may be assigned. Manage
Posted Today
Pharmacists assigned to the I MEDIC are responsible for facilitating and managing assigned projects and contracts relating to pharmacy services. Leads and provides oversight to assigned tasks and contracts, making sure that contract specifications are understood, tasks are assigned appropriately, and information is available and circulated. Essential Duties and Responsibilities include the followi
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The I MEDIC's Pharmacists are responsible for facilitating and managing assigned projects and contracts relating to pharmacy services. Leads and provides oversight to assigned tasks and contracts, making sure that contract specifications are understood, tasks are assigned appropriately, and information is available and circulated. Essential Duties and Responsibilities include the following. Other
Posted Today
Pharmacists assigned to the I MEDIC are responsible for facilitating and managing assigned projects and contracts relating to pharmacy services. Leads and provides oversight to assigned tasks and contracts, making sure that contract specifications are understood, tasks are assigned appropriately, and information is available and circulated. Essential Duties and Responsibilities include the followi
Posted Today
include the following. Other duties may be assigned. Utilizing leads provided by the team and referrals from government and private agencies, works with the team to prioritize complaints for investigation, and then investigates, conducts interviews and reviews information to make potential fraud determination. Determines case appropriateness of fraud waste and abuse issues in accordance with pre e
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